go back

West Virginia rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.61 / $448.38 / $3,074.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $306.14 / $382.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.60 / $249.12 / $271.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.26 / $241.26 / $241.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.79 / $362.79 / $362.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.78 / $374.54 / $880.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.03 / $497.03 / $497.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.10 / $359.27 / $515.29